Certified Nursing Assistant Syllabus

Certified Nursing Assistant Syllabus Great Basin College Nursing Department

Course Number, Title, & Credits: NURS 130: Nursing Assistant (6 Credits)

Course Schedule and Location: (January 19 – May 16, 2008). No class March 24 – 29, 2008. Classroom and laboratory 7 P.M. – 9:30 P.M. Tuesday and Thursday; PVM 115/116.

The dates for clinical TBA. Clinical times 6:30 A.M. - 2:30 P.M. on 6 Saturdays.

Catalog Description : Provides students with classroom, laboratory and clinical experience. Successful completion fulfills the requirements for eligibility to take the State Certified Nursing Assistant Examination. Prerequisites: Must show proof of current negative TB test or chest x-ray AND valid professional CPR card.

Instructor Information Carrie Krumtum, RN, MSN Home: 775-727-0725 Office: 775-753-2301 Please no calls before 6:00 A.M or after 9:00 P.M.

Required Textbooks and Materials : Text(s): 1. Successful Nursing Assistant Care, 2 nd Ed.; Dugan; Hartman Publishing, 2008; ISBN 1-888343-97-4; cost $35.95

2. Successful Nursing Assistant Care Workbook, 2 nd Ed.; Alvare (Editor); Hartman Publishing, 2008; ISBN 1-888343-98-4; cost $12.43

Texts can be purchased in the Great Basin Bookstore: Hours M-F, 9:00 a.m. – 4:00 p.m.

Uniforms: Students must wear a uniform in the clinical areas. Scrubs can be worn. Dress uniforms must be mid-knee or longer. White or flesh colored nylons are worn with dress or pant uniforms. If socks are worn with pant uniforms, they must be white. Shoes must be clean, white, and closed-toe. A wristwatch with a second hand is required. A stethoscope is recommended. A Great Basin Nursing Assistant Student nametag is REQUIRED in all clinical settings.

Hospital provided STUDENT name tag MUST be worn when in the clinical setting. Pick up name tag at Admitting on first day of clinical rotation. Course Description: The course is designed to introduce the student to the health care field of nursing assistant. It will provide students with classroom, practical (laboratory) and clinical experience to develop the basic competencies required for certification as a nursing assistant. It will also provide the student with knowledge and skills that are prerequisite to job entry and that comply with both Nevada State Statutes and the federal law. Upon successful completion of the course, the student will be eligible to apply for the Nevada State Certification Examination that is required for employment as a nursing assistant.

Learner Outcomes: Nursing assistant education strives to prepare individuals with skills necessary for safe and competent practice and the skills necessary for certification as specified by Nevada Revised Statutes and required for employment as a nursing assistant. Upon completion of this course, the student will: 1. Define the role of a nursing assistant. 2. Describe the responsibilities of a nursing assistant. 3. Perform specified skills required to function as a member of the health care team. 4. Demonstrate safe, competent care within the practice guidelines of a nursing assistant. 5. Provide care in accordance with the rights of every patient.

Assessment of Learner Outcomes:

Learner Outcomes How Assessed Define the role of a nursing assistant. Workbooks, quizzes, midterm paper, and discussions focusing on ethics, legal standards, and patient rights. Describe the responsibilities of a nursing Workbooks and quizzes, midterm paper, assistant. group discussion, focusing on basic body systems and medical terminology. Practice of documentation. Perform specified skills required to Workbooks, quizzes, performance log, function as a member of the health care group discussion. team. Practical application of learned nursing skills, team work and demonstration of communication skills and documentation. Skills practiced in a clinical setting. Demonstrate safe, competent care within Workbooks, quizzes, performance log, the practice guidelines of a nursing group discussion. Practical application of assistant. learned nursing skills, team work and demonstration of communication skills and documentation. Skills practiced in a clinical setting. Show understanding of scope of practice within the role of nursing assistant. Practice and apply skills in a

2 clinical setting.

Provide care in accordance with the rights Workbooks, quizzes, performance log, of every patient group discussion. Practical application of learned nursing skills, team work and demonstration of communication skills and documentation. Skills practiced in a clinical setting. Show understanding of scope of practice. Application of skills in a clinical setting showing a comprehension of nursing role, responsibilities, and the rights of every patient. Final test of written knowledge and manual skills.

A 100% is required on all skills listed on the Performance Log. Students are permitted to practice skills on the Performance Log until 100% accuracy is achieved. Skills tests on the Performance Log must be given by a registered nurse.

A minimum grade of 80% is required on all written and oral quizzes and tests. Retake is permitted on all written and oral quizzes and tests. No grade higher than 80% will be given on a retake exam. The nursing assistant curriculum is a competency based curriculum which allows for variation in completion time because of differences in individual learners. However, all requirements must be completed by the end of the scheduled date of the course.

Method of Instruction: The method of instruction will follow the Nursing Assistant Training Program Model Curriculum Guide for the Nevada State Board of Nursing. The curriculum is divided into 18 units which include objectives, vocabulary and suggested content. The program is a minimum of 120 hours. Classroom and laboratory work must be a minimum of 80 hours. The student must complete a minimum of 40 hours training before being allowed to work in a facility. The clinical training will include the following: Communication and Interpersonal Skills, Infection Control, Safety/Emergency Procedures including Heimlich Maneuver, Promoting Residents’ Independence, and Respecting Residents’ Rights with practice in Methods to Reduce the Use of Restraints.

Grading Policy and Criteria: A. Manual Skills Demonstration Examination

1. The student will achieve 100% demonstrating the skills listed on the Performance Log and following the specified steps in the procedure. 2. The student will demonstrate performance in a professional manner, using appropriate communication and respect for patient’s rights.

3 3. A manual skills exam will be given. Basic skills will be demonstrated. The student will not be told which skills he/she will perform prior to the time of the exam.

B. Midterm Paper

1. The student will achieve a minimum of 80% on the midterm paper. 2. The written paper must follow approved formatting guidelines, be type written, and include at least 3 references. 3. The topic for the midterm paper must be approved by the instructor prior to completing the assignment.

C. Written Examination

1. The student will achieve a minimum of 80% on the written final examination. 2. If the student has demonstrated great difficulty with written examinations, arrangements can be made to take the exam orally. It is the student’s responsibility to request the oral rather written exam prior to the time of testing. 3. 120 minutes are allowed for the final examination. The exam is multiple choice questions.

The following grading scale is used on all graded work or assignments: A = 100-90% D = 69 -60% B = 89-80% F = Below 59% C = 79-70%

The final written exam will be given on Tuesday, May 13, 2008 at 7:00pm.

You will be graded on the workbook questions following each chapter.

The following percentages will be used for grading: 1. Questions from workbook and/or review questions at the end of each chapter - 25% of final grade. 2. Quizzes - 15% of final grade. Must achieve a minimum of 80% on each quiz. 3. Midterm paper - 10% of final grade. Must achieve a minimum of 80% on paper. 4. Final exam - 50% of final grade. Skills testing Pass/Fail. Must Pass.

The manual skill demonstration and tests will begin Week 14. The student will achieve 100% demonstrating the skills listed on the Performance Log and following the specified steps in the procedure as outlined in the textbook.

Attendance Policy and Absenteeism and Clinical Expectations : All attendance and clinical expectations are outlined in the Student Policy Handbook.

Disability Statement:

4 GBC supports providing equal access for students with disabilities. An advisor is available to discuss appropriate accommodations with students. Please contact the ADA Officer (Julie Byrnes) in Elko at 775.753.2271 at your earliest convenience to request timely and appropriate accommodations. Clinical Locations: Clinical rotations will be held at

Desert View Regional Medical Center 360 S. Lola Lane Pahrump, NV 89048 775-751-7500

Course Outline/Content/Schedule:

(Appropriate skills will be taught in the skills lab in conjunction with all classroom times.)

Week 1: Introduction to Great Basin College NURS 130 course; Course Requirements; Nevada State Board of Nursing Application; The Nursing Assistant in Long-Term Care Review Chapters 1 including Workbook (Workbook due Thursday) Lecture Tuesday/Lab Thursday Procedures: Handwashing; 7 Ins & 7 Outs; Vital Signs

Week 2: Infection Control; Bedmaking and Unit Care; Vital Signs Review Chapters 6, 10, & 13 including Workbook (Workbook due Tuesday) Quiz & Lecture Tuesday/Lab Thursday Procedures: PPE; Isolation; Bedmaking; VS Review

Week 3: Ethical and Legal Issues; Diversity and Human Needs and Development; Emergency Care, First Aid, and Disasters Review Chapters 2, 5, & 8 Including Workbook (Workbook due Tuesday) Quiz & Lecture Tuesday/Lab Thursday Procedures: VS including Pulse Oximetry and Height & Weight; Patient Identification Techniques; Complete Bedbath

Week 4: Safety and Body Mechanics; Positioning, Moving, and Lifting; Personal Care Review Chapters 7, 11, & 12 including Workbook (Workbook due Tuesday) Quiz & Lecture Tuesday/Lab Thursday Procedures: Transferring; Moving; Lifting (including using a mechanical lift); Positioning; Restraints; Hair & Nail Care

Week 5: Communication Skills; Communication Challenges; Nutrition and Fluid Balance; Terminology Review Chapters 3, 4, & 14 including Workbook (Workbook due Tuesday)

5 Quiz & Lecture Tuesday/Lab Thursday Procedures: Oral Care; Brushing Teeth; Denture Care; Feeding; Pericare; Bedpan; Urinal; Bedside Commode

Week 6: Admission, Transfer, Discharge, and Physical Exams; Urinary System; Math for the Nursing Assistant Review Chapters 9 & 16 including Workbook (Workbook due Tuesday) Quiz & Lecture Tuesday/Lab Thursday Procedures: Catheter Care; Measure and Empty a Urinary Catheter Drainage Bag; Change Catheter Drainage Bag to Leg Bag; Apply a Condom Catheter; Collection of Urine Specimens; Intake & Output

Week 7: Gastrointestinal System; Reproductive System Review Chapters 15 & 17 including Workbook (Workbook due Tuesday) Quiz & Lecture Tuesday/Lab Thursday/Clinical on Saturday Procedures: Intake & Output; Ostomy Care; Stool Specimen Collection; AM & HS Care; Partial Bedbath; Shave; Shampoo

Week 8: Integumentary System; Musculoskeletal System Review Chapters 18 & 21 including Workbook (Workbook due Tuesday) Quiz & Lecture Tuesday/Lab Thursday/Clinical on Saturday Procedures: Application of Compression Stockings; Hot & Cold Applications; Sterile Dressing Change; Passive Range of Motion

Week 9: Circulatory or Cardiovascular System Review Chapters 19 including Workbook (Workbook & Paper due Tuesday) Quiz & Lecture Tuesday/Lab Thursday/Clinical on Saturday Procedures: Midterm Practical Exam

Week 10: Respiratory System Review Chapter 20 including Workbook (Workbook due Tuesday) Quiz & Lecture Tuesday/Lab Thursday/Clinical on Saturday Procedures: Oxygen Therapy; Incentive Spirometry; Turn, Cough, & Deep Breathing; Sputum Specimen Collection; Telemetry Lead Application; 12-Lead EKG

Week 11: Nervous System Review Chapters 22 including Workbook (Workbook due Tuesday) Quiz & Lecture Tuesday/Lab Thursday/Clinical on Saturday Procedures: Dressing; Enemas; Suppository; OTC Ointments; Douches

Week 12: Endocrine System; Immune and Lymphatic Systems and Cancer Review Chapters 23 & 24 including Workbook (Workbook due Tuesday) Quiz & Lecture Tuesday/Lab Thursday/Clinical on Saturday Procedures: Infection Control and 7 Ins & 7 Outs Review; Post Mortem Care

6 Week 13: Rehabilitation and Restorative Care; Subacute Care Review Chapters 25 & 26 including Workbook (Workbook due Tuesday) Quiz & Lecture Tuesday/Lab Thursday Procedures: Skills Practice

Week 14: End-of-Life Care Review Chapters 27 including Workbook (Workbook due Tuesday) Quiz & Lecture Tuesday/Lab Thursday Procedures: Practical Finals

Week 15: Your New Position; Job Skills; Review for Final Review Chapters 28 including Workbook (Workbook due Tuesday) Quiz & Lecture Tuesday/Lab Thursday Procedures: Practical Finals

Week 16: Finals Week Tuesday Final Written Exam, 2 hours Thursday CNA Pinning Ceremony - Pahrump